DEATH CERTIFICATE

 INFANT DUTY (Not named)

Date:    04 February 1944
Cert:    04917 
Place of Death: County: Knott   City or Town: Hindman, Ky.  Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Hindman, Ky.     Rural 
Full Name:  Infant DUTY (Not named) 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:   04 February 1944
Age:  10 minutes
Birthplace: Hindman, Ky.  Rural 
Occupation:   (blank) 
Industry or business: (blank)
Father Name:  John DUTY 
Father Birthplace:   West Virginia 
Mother Maiden Name:   Dorothy PERKINS 
Mother Birthplace:  Knott Co., Ky. 
Informant:  Dr. M. F. KELLEY, Hindman, Ky. 
Burial Place:  Hindman 
Date:  05 February 1944 
Signature of funeral director:  Family, Hindman, Ky.
Date received by local registrar:  21 February 1944 
Registrar's Signature:  Ida Livingston
Date of Death:  04 February 1944 
I hereby certify that I attended deceased from 04 February 1944 to same day, that I last saw him alive on 04 February 1944, and that death occurred on the date stated above at 7:10 p.m.
Immediate cause of death:  (blank) 
Duration: (blank)
Due to:  Congenital debility
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, M.D.
Date signed:  (blank) 
Transcribed by Debbie Tamborski, 12 November 2010